| NPI | 1194144956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 162990) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164871) |
| 106H00000X Marriage & Family Therapist | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101007322) | |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-01-20 |